RODRIGO BASTIDAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083874

License Status

NOT RENEWED

Business

First Name

RODRIGO

Last Name

BASTIDAS

Business Name

RODRIGO BASTIDAS

Original Issue Date

12/23/1991

Effective Date

08/31/2020

Expiration Date

07/31/2023

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/30/2023